0001209191-20-003716.txt : 20200116 0001209191-20-003716.hdr.sgml : 20200116 20200116165626 ACCESSION NUMBER: 0001209191-20-003716 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200114 FILED AS OF DATE: 20200116 DATE AS OF CHANGE: 20200116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rubenstein Gordon CENTRAL INDEX KEY: 0001794004 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38136 FILM NUMBER: 20531576 MAIL ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Accel Entertainment, Inc. CENTRAL INDEX KEY: 0001698991 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900] IRS NUMBER: 981350261 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 BUSINESS PHONE: 630-972-2235 MAIL ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 FORMER COMPANY: FORMER CONFORMED NAME: TPG Pace Holdings Corp. DATE OF NAME CHANGE: 20170224 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-01-14 0 0001698991 Accel Entertainment, Inc. ACEL 0001794004 Rubenstein Gordon C/O ACCEL ENTERTAINMENT, INC. 140 TOWER DRIVE BURR RIDGE IL 60527 1 0 0 0 Class A-1 Common Stock 2020-01-14 4 C 0 8749 A 357246 D Class A-1 Common Stock 2020-01-14 4 C 0 3538 A 255453 I See Footnote Class A-1 Common Stock 2020-01-14 4 C 0 42530 A 1847497 I See Footnote Class A-1 Common Stock 2020-01-14 4 C 0 13305 A 543261 I By IRA Class A-2 Common Stock 2020-01-14 4 C 0 8749 0.00 D Class A-1 Common Stock 8749 17500 D Class A-2 Common Stock 2020-01-14 4 C 0 3538 0.00 D Class A-1 Common Stock 3538 7076 I See Footnote Class A-2 Common Stock 2020-01-14 4 C 0 42530 0.00 D Class A-1 Common Stock 42530 85062 I See Footnote Class A-2 Common Stock 2020-01-14 4 C 0 13305 0.00 D Class A-1 Common Stock 13305 26612 I By IRA Represents the automatic conversion of a portion of the shares of the Issuer's Class A-2 Common Stock into shares of the Issuer's Class A-1 Common Stock. The Issuer's Class A-2 Common Stock will automatically convert into an equal number of the Issuer's Class A-1 Common Stock in three separate tranches, with no action required of the holder thereof, upon the satisfaction of certain predetermined stock price or earnings thresholds as set forth in the Restricted Stock Agreement dated as of November 20, 2019, by and among the Issuer, the Reporting Person and the other persons party thereto. The first stock price threshold was achieved on January 14, 2020. The Class A-2 Common Stock has no expiration date. Securities are held by the Gordon Rubenstein and Krista M. Ramonas Joint Revocable Trust, of which the Reporting Person is trustee. The Reporting Person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of such securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. Securities are held by Fund Indy LLC, of which the Reporting Person is the sole Member. The Reporting Person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of such securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. /s/ Derek Harmer, Attorney-in-fact for Gordon Rubenstein 2020-01-16